Sen. Rand Paul marked last week’s anniversary of the Roe v. Wade decision by arguing for the urgent passage of his federal ‘personhood’ legislation. But in 2013, he said he was in no rush to pass his own legislation, which, he claimed, was intended to spark a discussion.

The story of Purvi Patel’s prosecution, and the others lining up behind her, paint a bleak picture of life under the state’s ultra-conservative Republican reign and give a frightening look of what’s to come as increasingly draconian abortion restrictions force pregnant people to turn to other, sometimes illegal and often dangerous, means.

The unanimous decision overturns a lower court finding that a mother may be charged with civil child abuse and neglect because her newborn exhibited transitory and treatable side effects of methadone treatment that the woman received during pregnancy.